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Open Positions (60)

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Remote , Remote P - Pharmacist
San Francisco , CA CM - Case Management & Medical Management
Newtown Sq , PA Human Resources
Neptune , NJ CL - Radiology
Los Angeles , CA O - Claims This role will lead the claims team and all claims operations.Requirements:7+ years of leadership5+ years of medical claims experience on behalf of a payerIt is on-site in the Los Angeles area.
MULT , MULT Actuary
Westchester County , NY CM - Case Management & Medical Management The role is on behalf of a health plan, working on site at one of their partner hospitals.Requirements:NY RN licenseMust be willing to get CCM within 2 years of hireCase management experience requiredHealth plan experience preferred, but not required
Westchester County , NY CL- Behavioral Health UM/CM The role is on behalf of a health plan, working on site at one of their partner hospitals.Requirements:LMHC, LCSW, LMFT, or RN3 years BH or substance use experienceSome case management experience is ideal; CCM preferredHealth plan experience preferred, but not required
Greater Los Angeles , CA O - Payment Integrity/Fraud & Waste
Remote , Remote CO - Contracting and Provider Relations

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